Individual
CHARLES DAYTON COTTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3422 W HAMMER LN STE ABC, STOCKTON, CA 95219-5535
(209) 888-5088
Mailing address
102 W BIANCHI RD, STOCKTON, CA 95207-7132
(209) 888-5088
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
390017AN
CA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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